Exam (elaborations)
4 Drug Calculation Preparing and Giving Drugs
- Institution
- Minnesota State University, Mankato
4 Drug Calculation Preparing and Giving Drugs
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Chapter 04: Drug Calculation: Preparing and Giving DrugsMULTIPLE CHOICE
1. When calculating the dose of a drug to be given to a child, Clark’s rule is used. What
measure is Clark’s rule based upon?
a. The age of the child
b. The weight of the child
c. One-half of the adult dose
d. The international standardized ratio ANS: B
The Joint Commission now recommends that all dosages for children be weight-based. Clark’s
rule: Pediatric child dose = (weight of child/150 lb adult dose).
DIF: Cognitive Level: Remembering REF: p. 43
2. An elderly patient is scheduled to take six drugs each morning. What action should you take
when giving these drugs?
a. Allow extra time to give all the drugs.
b. Crush all the drugs before giving them.
c. Allow the patient to take only the drugs she can swallow.
d. Leave the drugs at the bedside so the patient can take them slowly.
ANS: A
Allow extra time to give drug to the elderly. These individuals often are slower at swallowing
drugs and water. The nurse must be present for the administration of every drug.
DIF: Cognitive Level: Applying REF: p. 47
, 3. You have just finished giving a 72-year-old male patient with a nasogastric (NG) tube
connected to suction his morning drugs.
What action is appropriate to take next?
a. The NG tube is clamped for 10 minutes and then reconnected to suction.
b. The NG tube is clamped for 30 minutes and then reconnected to suction.
c. The NG tube is immediately reconnected to the suction.
d. The NG tube is disconnected for 4 hours, and then reconnected to suction.
ANS: B
When the drug has passed through the tube, reclamp the tube for 30 minutes before reattaching
the suction.
DIF: Cognitive Level: Remembering REF: p. 47
4. A patient in your care is suddenly experiencing a life-threatening emergency. Which route
would you expect that emergency drugs may be given during this situation?
a. IV route
b. IM route
c. Rectal route
d. Subcutaneous route ANS: A
IV injections or infusions may be needed when drug must go directly into the bloodstream,
because the action of this method is rapid.
DIF: Cognitive Level: Understanding REF: p. 48
5. The LPN/LVN is about to prepare an intramuscular injection for a patient containing a
nonsteroidal anti-inflammatory drug for pain. Which is the correct needle gauge for giving an
intramuscular (IM) injection?
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